Mahavir's Rough Report - Fortis
Mahavir's Rough Report - Fortis
Mahavir's Rough Report - Fortis
3.2.1 INTRODUCTION:
CLIENT FORTIS HEALTH CARE LIMITED (FHL),
C/O Ranbaxy Laboratories Limited.
DESIGN TEAM Kaplan MC Laughlin Diaz, California.
LEAD ARCHITECT Achal Kataria & Associates, New Delhi.
CONSULTANTS Technical Project Consultants (structural), OTIS (lifts), Milestone
. Consultants (electrical), Dew point, BL Kasha yap & sons (plumbing)
TOTAL PLOT AREA 8.22 acres(33,265sq.mt)
TOTAL BUILT –UP AREA 60,000 sqmt.
YEAR OF COMPLETION 2001
COST OF PROJECT 155 crores
SET BACK 15.25m from all sides
FAR 2
PERMISSIBLE 30%
TOTAL BEDS 376
3.2.2 LOCATION AND APPROACH:
FORTIS is located in Sector 62, Phase VIII, S.A.S. Nagar,
Mohali Just 7 km from Chandigarh, the site is
approached by 24m wide road running around the four
edges of the site. It has PSEB building on one side & the
Punjab Urban Planning & Development Building opposite
to it and a proposed market behind it .
It is 14kms from the airport, 9 kms from bus stand (sec 17)
And 12 kms. from the railway station.
SPECIALITIES :
SUPERSPECIALTY in heart & MULTI- SPECIALTY in
Cardiology, Dental, Plastic surgery, Dermatology, Endocrinology,
Gastroentrology, General Surgery, Gynae, Internal Medicine,
Nephrology, Neurology, Neuro Surgery, Nuclear Medicine,
Oncology, Opthalmology , Orthopaedics
ENT, Pediatrics, Physiotherapy, Psychiatry, Pulmonolgy ,
Urology LOCATION PLAN
3.2.3 SITE ANALYSIS:
x
SIGNIFICANT FEATURES :
ORIENTATION :
• The building faces north-east, the most favorable orientation.
• Care has been taken to place the curved surface of the building out to that GLARE FREE LIGHT
direction to get the maximum exposure to glare-free light.
STAFF
STAFF PARKING
PARKING 3
1)There are 3 entrances to the site-
A) is the main entrance for OPD & IPD,
B) for emergency and
C) at back for service
2) Main entrance leads to public parking (120 cars, 60 scooters) on the left.
3) road runs along periphery of the site.
4)Separate parking for emergency.
ZONING(SITE LEVEL):
Divided into 5 zones
• The first one: The most chaotic being public area comprising of entry/exit and parking.
• The second: The Rehabilitation building which has less traffic.
• The third: The Main Hospital Building approached by patients, their visitors, the staff and doctors.
• The Service dock at the back & basement parking form the fourth zone.
• Last the beautiful landscaping spread all over the site.
P2 Z1
Z3 Z5 P1
Z4 Z2
CIRCULATION : LEGEND
TRAFFIC FLOW-OPD
• All the segregations follow a defined & specified
TRAFFIC FLOW;IPD
path leading to their respective destinations.
TRAFFIC FLOE;PUBLIC
•The ambulance entry leads right up to the main TRAFFIC FLOW-
emergency entrance via the shortest possible route & EMERGENCY
further leads to the ambulance parking. TRAFFIC FLOW-STAFF
P2
P1
P3
LANDSCAPING:
• Landscaping has been paid special attention here at FORTIS, Mohali using it as an element of beauty &
at the same time to rejuvenate the spirit of the patients.
• A stepped landscaped courtyard between the two buildings of the hospital enabling the patients to look
down on the greenery, not making them feel sick seems to be on the pattern of Mughal gardens.
•Shapes like circular & other curvilinear forms : Thus providing harmony & unity at site level.
•Road edges marked with flowers and specific landscaped areas earmarked by flower pots.
•A critical balance between the ecological & artificial planting has been achieved.
LANDSCAPING AT THE FLOWER POTS ALONG CURVILINEAR FORMS
ENTRANCE THE ROAD
STEPPED
LANDSCAPED
3.2.5 SITE SURROUNDINGS: COURTYARD
DOUBLY LOADED
MAIN SPINAL
CORRIDOR
CORRIDOR
SINGELY LOADED
CORRIDOR
TERRACE
SECOND FLOOR
ICUS
CARDIAC OPERATION THEATRES
CATH LABS
FIRST FLOOR
DOUBLE & SINGLE ROOMS
GENERAL OPERATION THEATRES
CONSULTATION ROOMS
EMERGENCY
BLOOD BANK
DIAGNOSTIC WING
KITCHEN
OPD
BASEMENT PARKING
•One CAGE-LIFT in kitchen for the transportation of material from basement stores to kitchen at the GF,
two DUMB WAITER lifts connected from CSSD to Day care OT and Cardiac OT at 1st and 2nd floor
respectively.
•Each block has its own staircase.
• Most of the staircases are on external walls having natural light and ventilation.
• There is a ramp ( 1:7 slope, 6m wide) going down to the service dock for loading / unloading of material
from trucks & the staff parking in basement.
BLOCK-A BLOC
K-B
BLOCK-C BLOCK-D
BLOCK PLAN
3.2.7 GROUND FLOOR PLAN: Level. = + 0.75m
A) EMERGENCY
B) IPD ENTRANCE
C) OPD
ENTRANCE
DIAGNOSTICS
Sufficient and spacious 2450 mm wide corridor. Total 8 reception Facility of bank and
waiting space with Sitting area for OPD is counters were provided ATM is provided
sufficient natural light interrupting the movement in OPD area to divide within hospital
the traffic
Loading/unloading
Service
lift
Way to
radiology
Patient
movement
Patient movement
EMERGENCY 1753
AREA
DIAGNOSTIC 2471
IPD WAITING RECEPTION IPD AREA
Block C (DIAGNOSTICS) :
KITCHEN
DIAGNOSTIC WING
2450 WIDE
CORRIDOR
CUT OUT ABOVE
OPD ENTRY
ELE/TEL/DATA
EXAM.
CONS RM. CONS RM. CONS RM. CONS RM. CONS RM. CONS RM. CONS RM. CONS RM. CONS RM. CONS RM. WAX BOX TH.
HYDRO
THERAPY
MERITS:
Staircase
The circulation core is easily visible
Large O.P.D Lobby or waiting area .
Waiting areas are provided in the form of
clusters.
SINGLR ROOM(13)
SINGLE ROOM(14)
CONSULTANT
O.T.
THEATRE
Block A & B :
ELE/TEL/DATA
LIFT LOBBY
TOI.
ELE/TEL/DATA
LIFT LOBBY
2450 WIDE
CORRIDOR DOUBLE HEIGHT
ELE/TEL/DATA
DN
AHU UP
LVL +4.65M CARDIAC OPD
STORE NEUROLOGY
SAMPLE
GENTS
PULMONOLOGY COLL.
LAB LADIES TOI.
TOI. RECEPTION TOI. TOI. WAITING
TOI. DR'S TOI.
TOI. WAITING AMBULATORY AMBULATORY DU CU DUTY
TOI. THERAPY THERAPY LAB PROCUDURE
RM. RM.
2450 WIDE 2450 WIDE PANTRY
CORRIDOR CORRIDOR
CDS
1. EXAM. EXAM. INJEC EXAM. INJEC EXAM. INJEC EXAM. INJEC EXAM. INJEC EXAM. INJEC EXAM.
RM. RM. RM. RM. RM. RM.
2.
3. CONS. RM. CONS. RM. CONS. RM. CONS. RM. CONS. RM. CONS. RM. CONS. RM. CONS. RM. CONS. RM. CONS. RM. CONS. RM. CONS. RM. CONS. RM. CONS. RM.
CONSULTANT RM
Function Area (sq.m)
Only referred patients arrive in cardiac OPD,
hence filtering the out patients inflow. OT AREA 2267
two consultant rooms sharing one common
OPD AREA 1965
examination and one injection room and sub
waiting space. IPD WARD AREA 3383
3.2.9 SECOND FLOOR PLAN: Level. = + 8.55m
Both these blocks have ICUs), with separate family ICU wards
MERITS:
•Nursing stations, toilets
& doctor’s duty rooms
centrally placed.
•Separate change rooms
& lockers for gents, ladies
& staff.
• Four isolated rooms
with attached toilets
ICU with curtain provided
partitions Nurse stations
Lift lobby
BLOCK D
It basically has the invasive cardiac lab including 3 Cath. Labs with separate recovery areas
CATH LAB
DN. UP
2450 WIDE
CORRIDOR
CH. CH.
LVL +8.55M STORE
ELE/TEL/DATA
RM. RM.
DR'S CONF.
LOUNGE
RM. NURSE'S
AHU CATH LAB CU STATION
EQUIP.RM.
•. MERITS: •DEMERITS :
•Separate cath wards and recovery beds. •No scope for future expansion
•Cathether store •Patient lifts are far
•Provision of cath swing lab.
Block C: (OT complex )
DN. TROLLEY
DR'S
DARK
RM. PREP. STERILE OPERATION
DECONTAMINATION
OT
CONTROL
WORKSHOP SCRUB
TROLLEY
STORAGE
SCRUB
ROOM-6
MOBILE PREP.
CARM FAM
DOCTORS' ANAESTHESIST
PRE OP OPERATION
TOI. CH.RM. BEDS ROOM-1
ANAESTHESIA SENTRALISED
PROFUSION STERILE CORE PROFUSION
TOI. NURSES' TROLLEY ROOM
CH.RM.
SLUICE
RM. CU BAY
ROOM
STAFF
TOI.
CH.RM.
POST OP
OPERATION OPERATION OPERATION
TOI. BEDS OPERATION
WARD BOY'S
ROOM-3 ROOM-4 ROOM-5
REST ROOM
ROOM-2 SCRUB SCRUB
View of cardiac OT
3.2.10 THIRD FLOOR PLAN:
SINGLE
ROOM
SINGLE
ROOM
Level. = + 12.45m
ROOM ROOM ROOM ROOM ROOM ROOM
SINGLE ROOM ROOM SINGLE
SINGLE SINGLE
ROOM ROOM
SINGLE ROOM ROOM SINGLE
SINGLE ROOM ROOM
2450 WIDE SINGLE
SINGLE ROOM
CORRIDOR ROOM SINGLE
Block A & B:
SINGLE ROOM LADIES GENT'S ROOM
EL E/TEL /DAT A
EL E/T EL /DATA
ROOM TOI. TOI. SINGLE
SINGLE NURSE'S DU DU ROOM
ROOM DUTY
S TATION
NURSE'S
WARD
STORE PA NTRY
LOBB Y
PAN TR Y STO RE
TOI. TOI.
DR'S CH CH. DR'S
2450 WIDE
NURSE'S
PATI ENT'S
LOUNGE
CU NURSE 'S
INCHARGE
DOCT OR'S
DUTY
LOUNGE
AHU AHU LOUNGE NURSE' S
INCHARGE
CU PA TIENT'S
LOUNGE
S TATION
CORRIDOR TOI. TOI. NURSE'S
UP STATION
DN. 2 450 WIDE
CORRIDOR
LVL+12.45M LIFT LOBBY
LVL+12.45M
UP
(FOR BEDS) DN
DOUBLE
DOUBLE DOUBLE DOUBLE DOUBLE DOUBLE DOUBLE DOUBLE GENERAL DOUBLE DOUBLE DOUBLE DOUBLE DOUBLE DOUBLE DOUBLE
ROOM DOUBLE
ROOM ROOM ROOM ROOM ROOM ROOM ROOM WARDS ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM WARD
ROOM
LVL+12.45M
OXYGEN&VACCUM OFFICES
TOI.
LIBRARY
STAFF RECREATION RM.
ELE/T EL /DAT A
ELE/T EL/DAT A
WA ITING GENTS
DN. CH.
TOI.
LIBRARY TOI.
AHU DN
2450 WIDE
CORRIDOR
LVL+12.45M
AHU LADIES JA N
CORRIDOR
DINING RM
1822 WIDE
DW DW TOI. MEETING WAITING STORE
PANTRY WASH DRS'
CHAMBER
SUPPORT I SOLATION ISOLATION
WASH
FILTER LVL+12.45M WAITING ROOM ROOM LADIES GENT'S
RM. RM. STORE SERVER TOI. TOI.
OPEN
MEETING MEETING
TERRACE ROOM ROOM PANTRY
OFFICES
7
6
5
3 SINGLE
2
ROOMS
1
SINGLE SINGLE FAMILY
SINGLE
SINGLE ROOM ROOM ROOM
SINGLE ROOM
ROOM
SINGLE ROOM
SINGLE ROOM
2450 WIDE
SINGLE ROOM CORRIDOR
SINGLE ROOM LA DIES
EL E/TEL/DA TA
ROOM TOI.
SINGLE NURSE'S DU
NURSE'S STATION
ROOM STORE PA NTRY DUTY
DR'S CH
B TOI. TOI.
2450 WIDE
NURSE'S
PATIENT'S
LOUNGE
CU NURSE'S
INCHA RGE
DOCTOR'S
DUTY
LOUNGE
AHU
Doubly loaded corridor
STATION
C CORRIDOR TOI.
UP
DN. 2450 WIDE
CORRIDOR LIFT LOBBY
(FOR BEDS)
D DOUBLE
DOUBLE DOUBLE DOUBLE DOUBLE DOUBLE DOUBLE DOUBLE
ROOM
ROOM ROOM ROOM ROOM ROOM ROOM ROOM
DOUBLE BLOCK A
ROOMS
0.8 1.8 2.8 3.8 4.8 5.8
8 9 10
SINGLE
7 11
12
13
ROOMS 14
15
16
FAMILY
ROOM DN. UP.
FAMILY
ROOM
SINGLE
ROOM
SINGLE
ROOM
SINGLE
ROOM SINGLE
17
Nurse station
ROOM SINGLE
18
ROOM SINGLE
ROOM
SINGLE
ROOM SINGLE
LADIES GENT'S
ELE/TEL/DATA
ROOM
TOI. TOI. SINGLE
DU ROOM
STATION
NURSE'S
LIFT LOBBY UP
(FOR BEDS) DN
GENERAL WARDS DOUBLE DOUBLE DOUBLE DOUBLE DOUBLE DOUBLE DOUBLE DOUBLE
ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM WARD
LIFT LOBBY-3
(FOR SERVICE)
12.1 13.1 14.1 15.1 16.1 17.1 18.1
5.8
F
DOUBLE ROOMS
TOI.
STAFF RECREATION RM.
BLOCK B
C
TOI.
H
Double room
Block C:
It is composed of a Dining Hall ( Café ), terrace garden & a dialysis unit on one
side & a nursing school with 2 lecture halls & a conference room etc.
OXYGEN&VACCUM LIBRARY
C
TOI.
H
RECEPTION
2450 WIDE
CORRIDOR FUTURE LIBRARIAN
FHC-6 EXPANSION PERITONIAL BI-CARBONATE
UP LADIES GENTS DIALYSIS DIALYSIS
ELE/TEL/DATA
TOI.
LIBRARY TOI.
AHU
J AHU LADIES
CORRIDOR
1822 WIDE
DINING RM DW DW TOI.
PANTRY WASH DRS'
SUPPORT ISOLATION ISOLATION
WASH
FILTER
CHAMBER
RM. RM. STORE
TERRACE
K
DINING RM
NURSES'S DOCTOR'S
SENIOR STAFF
DINING TRAINING TRAINING
Block D:
It is basically the board room & administrative areas .
It has some offices, 3 meeting rooms & area for future expansion.
Block A & B :
Lvl. = - 3.15m
It provides staff parking for about 85 cars & 75 scooters.
PUMP ROOM
Block A also houses the waste disposal storage.
It also has public toilets and a lift lobby.
Block B also has a mortuary and prayer room.
Blocks C & D mainly house the essential services.
Block C : This whole block can be divided into 4 zones : KITCHEN STORAGE
Kitchen storage & dining for staff, Laundry, CSSD & Medical Records,Electrical (Diesel gensets,
EDP- Electronic Data Processing)
Other Services (Biomedical Engineering, Pharmacy, Carpentry workshops)
Kitchen storage & dining for staff
It consists of mainly storage areas, has a receiving bay, a bakery, a confectionery, a cold and
deep freezer, an area for parking and washing trolleys and a special cage lift.
Laundry, CSSD & Medical Records.
Laundry placed next to the CSSD for convenience in sterilizing clean clothes and linen.
The whole area is very efficiently planned for ease of receiving, washing & drying, ironing
with special clean areas & dispatch.
It has 2 dumb waiter lifts that go up to the cardiac OTs
Block D :
It houses the Public Health services, the mechanical services, the building
automation units, HVAC services & the Engineering Dept LAUNDRY
3.2.12 THE FORTIS INN :
•30 well-furnished rooms including suites with attached baths.
• It has two types of floors- standard and executive having their own set of Deluxe, Super Deluxe rooms and
suites.
DHAULPUR STONE
DOUBLE GLASS
•RCC construction
•First class bricks & AAC blocks used
•As the hospital falls on aviation route, measures have been taken to reduce the sound level
inside the hospital :
o AAC (autoclaved aerated concrete blocks) have been used.
o Acoustic false ceiling tiles have been used.
o For windows double glass has been used
o AAC blocks : 39 x 19 x 30 cms. For outer load bearing walls
o AAC blocks : 39 x 19 x 10 cms. For inner load bearing walls
3.2.16 FINISHES :
DOORS :
•Two types of doors have been provided. The ones with cedar laminates are for patient entry and the ones
with green laminates are not for patient entry.
TYPES OF FLOORING :
•Public areas : Marble
•Patient areas : Mosaic
• OTs : Granite
• ICUs : PVC
• Radiology : PVC
• Nuclear medicine : PVC
• Public staircases : Marble
• Fire-escape staircases : Kota Stone
• Concrete blocks have been used for pavements.
• Ceramic tiles have been used in various colors and sizes.
• Chemically resistant tiles for labs.
• The interiors have been plastered and painted.
• Prefabricated furniture which is easily portable & movable has been provided.
CSSD
• Fed by dumbwaiters or manually.
• Receiving – Wash – Dry – STERLISATION (STEAM OR GAS) – Packing – Dispatching
LAUNDRY
/DRYING JAN CH.
ELECTRIC
PANEL WASH AREA RM.
DISPATCH
RM.
AHU SUPERVISOR RECEIVING
LAUNDRY
OFFICE MEDICAL STORE LAUNDRY CSSD
RECP.
CSSD
TROLLEY CSSD
DW DW
CH ENGG WORKSHOP
TROLLEY PHARMACY
INCHARGE
CABIN
PARK/WASH
STORE
STORE PANEL
BIO MEDICAL
CONFEC. RM.
CSSD Department
WATER SUPPLY
There are 6 water storage tanks in hospital, which have been, constructed underground:
• Fire- water tanks- 3 nos.: Treated water tanks -2nos. Raw water tanks – 1 no.
• REVERSE OSMOSIS PLANT : For purifying domestic water to fed to special departments like scrub in
OT’s , Dialysis Unit, CSSD, ICU’s.
• SOFT WATER TREATMENT: For reducing hardness of domestic water and to fed to boilers and laundry .
• Raw• water
. is treated ,pumped to elevated storage tanks, distributed to different inlets at different floors.
• Estimate of quantity of water (inc. laundry)= 450 litres per head per day
Hydro-pneumatic system:
• Location – Basement, Block B
• Used for supplying hot & cold water to the whole hospital.
Color coding :
• Color of cold water pipe lines is green.
• Hot water lines are insulated with puff and cladded with aluminum sheet
Boilers:
• Location – Basement, Block B
• 5 boilers (600 kg/hr. each) are installed.
• Steam from the boiler is fed to the laundry, kitchen, CSSD etc. for hot water system.
Reverse Osmosis Water Plant:
•Location – Basement, Block B
•It has been installed to produce ultra pure clean water, which is used in scrubs, OTs, Cath labs, ICUs &
CSSD.
Soft water plant :
•Location – Basement, Block B
•Soft water here produced is used for steam boilers.
Calorifier :
•In this water is heated with steam to constantly maintain a temperature of 50 deg. Celsius.
SEWERAGE :
All toilets have shafts adjoining to carry waste disposal pipes and water supply lines.
Soil pipes have been laid to 1:60 slope.
DRAINAGE :
•For basement, sump wells have been provided at intervals where waste water is collected and pumped out to
the manholes.
•Curb inlets are provided at the edges of the roads to drain the water.
SCREW CHILLER
FIRE FIGHTING :
• Fire-resistant construction has been done using AAC blocks ( autoclaved aerated concrete blocks).
• Sprinklers have been provided @ approx. 3000mm depending upon equal
distribution of width of hall available.
•In the basement-parking areas: foam extinguishers for controlling oil fires.
•Hose-reels in fire-fighting niches 4’x4’ have been used.
•Public address system & hooters have been placed strategically.
•Fire exit routes with automatic opening type doors have been provided SPRINKLER
HOSE REELS
FIRE PROTECTION
NEAR THE STAIRCASE
ELECTRICAL :
GENERATOR ROOM
ANALYSIS - EXTERIOR
S
.
COMPONENT PIMS(Punjab Institute of Medical FORTIS HEART AND MULTI- ANALYSIS
N S Sciences) , JALANDHAR SPECIALITY HOSPITAL
O
1 Approach to Site can be easily approached Site can be easily approached It’s a huge advantage
.
site by 30M wide Garha Road. by24Mwide Metalled road and for people with the
located inSector 62, Phase VIII, availability of hospital
S.A.S. Nagar, on main highway.
Mohali.
Just 7 km from Chandigarh
2 Accessibility Hospital has Four entrances Hospital has Two entrances Should be a separate
.
(OPD,Emergency,Service,Res (Hospital and Emergency) with no entrance for
idential) but only one is Provision of separate ,visitors and emergency and for
being used. service entrance. services.
3 Parking Sufficient on surface parking for Basement and on surface parking for There should be
.
Doctors,visitors , staff , ambulance staff and doctors sufficient car parking
Separate ambulance parking near as per requirement.
emergency entrance
Visitors and OPD patient parking
is not sufficient.
5 Orientation Hospital is south-west facing . The building faces north-east, the north-east, the most
.
most favorable orientation. favorable orientation.
Care has been taken to place the
curved surface of the building out to
that direction to get the maximum
exposure to glare-free light.
7 Architectural Modern outfit has been given to the Modern outfit has been given to the Positive
.
style building through straight lines and building through straight lines and
with materials. with materials. use of glass gives the
transparency and play a dominant
role in the elevation.
ANALYSIS - INTERIOR
S COMPONENT PIMS(Punjab Institute of Medical FORTIS HEART AND MULTI- ANALYSIS
.
N S Sciences) , JALANDHAR SPECIALITY HOSPITAL
O
1 Entrance Grand wide entrance porch leads Grand wide entrance porch leads Positive
.
porch to emergency and another to to emergency and another to Directions should be
visitors double height lobby Area Visitors lobby Area. Clear when someone
enters
4 Horizontal Sufficient sitting space in various Swinging doors have been placed Positive
.
circulation zones, for Movement From one at regular intervals in the corridors
area to another. to provide a defined path to user
zones and at the same time to
provide privacy to the various
departments
5 Vertical Emergency exit provided. Ramp No provision of ramp other all Proper Emergency exit
.
circulation provision. facilities are provided To be provided with
Separate patients , staff , visitors Separate patients ,
lifts. staff , visitors lifts.
Separate entrance/exit for
Employees
6 Light & Proper natural lightening to all Proper natural lightening to all Positive
.
Ventilation rooms, departments. rooms , departments. Courtyard planning
Preferred.
7 Fire escape Thirteen fire escape staircase are Four fire escape staircase are adequate accessibility
.
provided with easily accessible provided with easily accessible. to the fire escape
Fire exit routes with automatic
opening type doors have been
provided
8 Patients Room Rooms ,wards with are with all Rooms ,wards with are with all Positive
planning basic facilities basic facilities basic facilities to be
Like washrooms, sitting area Like washrooms, lcd , sitting area provided
for visitors , etc for visitors , etc